sapphire18

sapphire18

ICU

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All Content by sapphire18

  1. checking tube feeding residuals

    sapphire18 replied to unsaint77's topic in General Students

    No no no I DO check for residuals- at least Q4 hours or per orders. I meant that I wouldn't wait after putting the pump on hold.Hope that

  2. Denied employment at agency due to ordered prescriptions

    sapphire18 replied to RNwithHonors's topic in Patient, Colleague Relations

    THANK YOU, ocnrn!!!!! Could not have said it better myself!

  3. checking tube feeding residuals

    sapphire18 replied to unsaint77's topic in General Students

    Question- you're a new grad, no? Just noticed and wondering why this is in the student section

  4. checking tube feeding residuals

    sapphire18 replied to unsaint77's topic in General Students

    1. I dont wait to check for residuals- as far as I'm concerned you shouldn't, because even if it's just for a little bit the pt isn't getting the prescribed nutrition for the 24 hours between that and...

  5. My TCU CPR policy

    sapphire18 replied to unsaint77's topic in Patient Safety Issues

    Also again, what is

  6. My TCU CPR policy

    sapphire18 replied to unsaint77's topic in Patient Safety Issues

    Agree, it would really shock me if this is really the policy. You are basically treating your full code pts like DNRs. I believe this is called "failure to rescue." and yes that, would put your...

  7. My TCU CPR policy

    sapphire18 replied to unsaint77's topic in Patient Safety Issues

    In a "normal" setting, compressions are started at the absence of a pulse. I don't know about your license, but any layperson on the street can start CPR on someone, so why would a nurse in a nursing...

  8. pt with MRSA in sputum ambulating in hallway with no mask

    sapphire18 replied to unsaint77's topic in General Nursing

    In my experience, in LTC facilities, pts on contact precautions still get to eat in the common dining room. Realistically, you can't lock someone away in their room 24/7 in a long term living...

  9. How fussy are you about O2?

    sapphire18 replied to Vtachy1's topic in Hospice, Palliative

    Agree that the O2 should be about comfort only. And of course, in a COPDer, too much oxygen IS a bad thing, as it knocks out their drive to breathe and their CO2 will get wayyy too high. Morphine will...

  10. Do you give mag off pump?

    sapphire18 replied to BellaInBlueScrubsRN's topic in Emergency

    Never have, or even heard of that. Doesn't seem safe at

  11. Murphy's Law of Nursing

    sapphire18 replied to Pepper The Cat's topic in General Nursing

    Bring 2 needles into the room, you get the stick. Bring 1 and you

  12. IM injections - divide into 2 or keep as 1?

    sapphire18 replied to samyaira's topic in Patient Medications

    The deltoid is a muscle, so that would be IM. If giving SC injections in the arm, I use the "flab" on the outer, back side of the upper

  13. False documentation... more common than you think.

    sapphire18 replied to OnlybyHisgraceRN's topic in Patient Safety Issues

    Nope. Never once have I falsified a chart.

  14. Bedside charting?! Is this the new norm? VENT!

    sapphire18 replied to RockinChick66's topic in General Nursing

    We do bedside charting, but not exclusively. We still have comps at our nurse's station for charting as well. We also have chairs that we can bring into the room for charting. I totally agree with you...

  15. Is it okay to call?

    sapphire18 replied to KimberlyRN89's topic in LPN, LVN Corner

    Why not? That's how you're going to get the job, a lot of

  16. Can we have a punching bag in the break room?

    sapphire18 replied to Joe V's topic in Nursing Humor

    SUCH a good

  17. Is this a med error on my part?

    sapphire18 replied to heynurse1971's topic in LPN, LVN Corner

    Oh, I didn't realize LTCs weren't JCAHO accredited. Also that all meds were delivered and there is no pyxis. My bad!

  18. YOU as a Pt-what would you allow a student nurse to do?

    sapphire18 replied to KellNY's topic in General Nursing

    Just an aside- nursing school does not equal med school. Carry

  19. "cheesy slough"

    sapphire18 replied to justcup's topic in Wound, Ostomy, Continence

    In my experience, "feculent vomitus" has always been a sign of impending death...so it no longer merely grosses me out but it also scares the bajeezus out of me.

  20. Is this a med error on my part?

    sapphire18 replied to heynurse1971's topic in LPN, LVN Corner

    Why would you not use the MAR when administering medications? As far as I'm concerned, that in itself is an error- and a JCAHO violation. For what it's worth, 2 salt tabs over 2 days is going to do...

  21. So.....the infection control nurse busted me.....

    sapphire18 replied to mindlor's topic in General Students

    Honestly, if I literally stick my head in the doorway to LOOK at a patient and don't touch ANYTHING or get close to touching anything, I wouldn't wash. We're washing enough already that the skin is...

  22. Question about an order

    sapphire18 replied to Kay51's topic in General Students

    Haha thanks, for the love- I never knew that's what the "STK" stands for when we override for meds from the Pyxis!

  23. Co-signature for Insulin administration

    sapphire18 replied to MissRN7's topic in Patient Safety Issues

    A little off-topic, but I have never heard of "CBS" until I came to this site- what does the "C" stand

  24. I love being a Satanist nurse.

    sapphire18 replied to canoehead's topic in Spirituality, Religion

    Canoehead- LOVE it!! I read this thread first then the other one, and LOL'ed at your "be right back" comment!

  25. IV forms of Zofran and Decadron given PO???

    sapphire18 replied to GleeGum's topic in Emergency

    Because the PO form is not always stocked at all times in all facilities. It does the same